Provider Demographics
NPI:1083846331
Name:LIONI, MERCEDES INES
Entity Type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:INES
Last Name:LIONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CONTINENTAL DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:888-625-4685
Mailing Address - Fax:
Practice Address - Street 1:1201 LANGHORNE-NEWTOWN ROAD
Practice Address - Street 2:
Practice Address - City:LANGHOME
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-710-2162
Practice Address - Fax:215-710-5887
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT192156207ZP0102X
PAMD447704207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology